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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study. |
| 掲載誌名 | 正式名：Frontiers in nutrition 略 称：Front Nutr ISSNコード：2296861X/2296861X |
| 掲載区分 | 国外 |
| 巻・号・頁 | 10,pp.1270276 |
| 著者・共著者 | Murata Hiroyasu, Tashiro Syoichi, Sakamoto Hayato, Ishida Rika, Kuwabara Mayuko, Matsuda Kyohei, Shiokawa Yoshiaki, Hirano Teruyuki, Momozaki Ryo, Maeda Keisuke, Wakabayashi Hidetaka, Yamada Shin |
| 発行年月 | 2023 |
| 概要 | BACKGROUND:It is established that a low body mass index (BMI) correlates with a diminished home discharge rate and a decline in activities of daily living (ADL) capacity among elderly stroke patients. Nevertheless, there exists a paucity of knowledge regarding strategies to mitigate BMI reduction during the acute phase. This investigation seeks to elucidate the impact of rehabilitation dose, as determined by both physical and occupational therapy, on BMI alterations, positing that a heightened rehabilitation dose could thwart BMI decline.METHODS:This retrospective, observational study was conducted in the stroke unit of a university hospital. Enrollees comprised individuals aged ≥65 years, hospitalized for stroke, and subsequently relocated to rehabilitation facilities between January 2019 and November 2020. The percentage change in BMI (%ΔBMI) was calculated based on BMI values at admission and discharge. Multivariate multiple regression analysis was employed to ascertain the influence of rehabilitation dose on %ΔBMI.RESULTS:A total of 187 patients were included in the analysis, of whom 94% experienced a reduction in BMI during acute hospitalization. Following adjustment for sociodemographic and clinical factors, multivariable analyzes revealed a positive association between rehabilitation dose and %ΔBMI (β = 0.338, p < 0.001).CONCLUSION:The findings of this study suggest that, in the context of acute stroke treatment, an augmented rehabilitation dose is associated with a diminished decrease in BMI. |
| DOI | 10.3389/fnut.2023.1270276 |
| PMID | 38115884 |